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Malone appendicostomy : an unexpected complication

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Abbes Orabi, Nora [UCL] Paterson, Hugh M. Goncette, Louis [UCL] Danse, Etienne [UCL] Saey, Jean Pierre Kartheuser, Alex [UCL]

The Malone appendicostomy is a novel option for surgical management of faecal incontinence and chronic constipation, by permitting the administration of antegrade colonic enemas for colonic evacuation. We report the case of a 54-year-old female who had undergone abdomino perineal resection for low rectal cancer followed by total perineal reconstruction with perineal colostomy, dynamic double graciloplasty and Malone appendicostomy. After 7-year follow-up, functional results and quality of life scores were satisfactory. Suddenly the patient described increasing difficulty with intubation of her appendicostomy and complete reflux of the enema liquid, which radiology referred to a calcified body of 35 mm within the Malone appendicostomy causing nearly complete obstruction of the conduit. A surgical exploration was necessary to extract the fecolith allowing full recovery with return to satisfactory Malone appendicostomy function. To our knowledge, this is the first report of a fecolith causing obstruction within a Malone appendicostomy.

Document type Article de périodique (Journal article) – Article de recherche – Case Reports, Journal Article
Access type Accès restreint
Publication date 2011
Language Anglais
Journal information "Techniques in Coloproctology" - Vol. 15, no. 1, p. 81-83 (2011)
Peer reviewed yes
Publisher Springer Italia Srl ((Italy) Milan)
issn 1123-6337
Publication status Publié
Affiliations UCL - SSS/IREC/CHEX - Pôle de chirgurgie expérimentale et transplantation
UCL - (SLuc) Service de chirurgie et transplantation abdominale
UCL - (SLuc) Service de radiologie
UCL - SSS/IREC/IMAG - Pôle d'imagerie médicale
MESH Subject Quality of Life ; Questionnaires ; Reconstructive Surgical Procedures - adverse effects, methods ; Rectal Neoplasms - psychology, surgery ; Treatment Outcome ; Male ; Middle Aged ; Perineum - surgery ; Prospective Studies ; Fecal Impaction - surgery ; Fecal Incontinence - therapy ; Female ; Humans ; Middle Aged ; Surgical Stomas - adverse effects
Keywords Malone appendicostomy ; Chronic constipation ; Fecolith
Links
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Bibliographic reference Abbes Orabi, Nora ; Paterson, Hugh M. ; Goncette, Louis ; Danse, Etienne ; Saey, Jean Pierre ; et. al. Malone appendicostomy : an unexpected complication. In: Techniques in Coloproctology, Vol. 15, no. 1, p. 81-83 (2011)
Permanent URL http://hdl.handle.net/2078.1/87408